Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!
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Use Your Strengths as a Behavioral Health Navigator (Social Worker) at Wellmark!
About the opportunity: You will provide behavioral health support service to Wellmark members while utilizing your healthcare system and community resource knowledge and expertise to provide consultation and responses to support requests. You will proactively assesses and assists members with care needs to help connect them with community and employer services and resources efficiently. As part of a multidisciplinary care team, you will continuously look for ways to improve processes and maximize health dollars for our members. Top candidates will have experience working within a health plan.
Required:
Preferred:
a. Provide behavioral health expertise and collaborate with members and employer groups to evaluate needs and identify community and employer resources. Partner with and make referrals to Case Management for ongoing long-term needs.
b. Work with health care provider and community resource staff in a courteous and professional manner in gathering medical resources and services.
c. Document activity and decisions accurately, consistently, and timely within the care management documentation system by following the standard work guidelines and policies to support internal and external processes, including documentation of community and employer resources provided. Meet both quality assurance and production metrics as established for the role.
d. Comply with regulatory standards, accreditation standards and internal guidelines.
e. Document activity and decisions accurately, consistently, and timely within the care management documentation system by following the standard work guidelines and policies to support internal and external processes. Meet both quality assurance and production metrics as established for the care team.
f. Other duties as assigned.
Remote Eligible: You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other ‘moments that matter’ as well.
An Equal Opportunity Employer
The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.
Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at careers@wellmark.com
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